跨省移民中的结核病流行病学特征 - 中国,2019-2023年
Da Xu1,2, Xue Li3, Feifei Tian4
1National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
China CDC weekly
|August 22, 2025
概括
中国的省际移民对结核病 (TB) 控制有重大影响,2019年至2023年期间在移民中发现了超过123,000例结核病病例. 在关键来源和目的地地区进行有针对性的查对于移动群体的有效结核病管理至关重要.
科学领域:
- 公共卫生
- 流行病学
- 传染病控制
背景情况:
- 结核病是中国的主要传染病.
- 省际人口迁移给结核病控制工作带来挑战.
- 了解移民中的结核病流行病学对于公共卫生战略至关重要.
研究的目的:
- 分析中国省际移民中结核病例的趋势和特征.
- 确定结核病迁移的主要地区和患者人口统计数据.
- 为移动群体提供针对性干预措施.
主要方法:
- 利用中国结核信息管理系统 (2019-2023) 的结核监测数据.
- 分析患者信息,包括不同永久和当前地址,数据无敏化后.
- 使用R软件 (4.4.0版本) 进行数据分析.
主要成果:
- 在省际移民中发现123,945例结核病例 (占病例总数的4.03%).
- 主要目的地包括广东,江和福建;主要来源地区是四川,湖南和贵州.
- 移民结核病例主要是男性 (66.2%),新诊断 (93.0%),药物耐药率低 (2.4%).
- 每年观察到老年人 (45-64岁和≥65岁) 和重复治疗病例的比例增加 (P<0. 001).
结论:
- 结核病的迁移模式显示出从较不发达地区流向更发达地区,目的地地区稳定.
- 有效控制结核病需要针对主要来源和目的地省份的移民进行查计划.
- 根据特定的迁移模式制定定制的战略是必要的,以对跨省移民的结核病进行管理.
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